Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.29 / $2,228.35 / $5,687.00	Facility		$443.29	$2,228.35	$5,687.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $114.48 / $285.89 / $1,489.50	Facility	52	$114.48	$285.89	$1,489.50
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $84.94 / $153.94 / $285.62	Facility	53	$84.94	$153.94	$285.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.80 / $307.89 / $571.79	Professional		$190.80	$307.89	$571.79
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $39.24 / $95.40 / $208.03	Professional	53	$39.24	$95.40	$208.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.53 / $190.23 / $287.33	Professional		$150.53	$190.23	$287.33
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $37.74 / $75.48 / $139.81	Professional	53	$37.74	$75.48	$139.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,046.40 / $1,317.77 / $2,514.55	Facility		$1,046.40	$1,317.77	$2,514.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.85 / $407.85 / $606.34	Professional		$407.85	$407.85	$606.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $800.00 / $2,437.00	Facility		$590.00	$800.00	$2,437.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $364.88 / $661.66	Professional		$216.00	$364.88	$661.66
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $320.00 / $320.00 / $320.00	Professional	53	$320.00	$320.00	$320.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $196.20 / $413.32 / $1,169.00	Facility		$196.20	$413.32	$1,169.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $339.96 / $534.21 / $2,761.67	Professional		$339.96	$534.21	$2,761.67
United Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $1,786.00 / $3,918.00	Facility		$816.00	$1,786.00	$3,918.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.96 / $416.28 / $614.38	Professional		$240.96	$416.28	$614.38